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Related Experiment Videos

Complications of Arthrography.

Philip C. Hugo1, Arthur H. Newberg, Joel S. Newman

  • 1Department of Radiology, New England Baptist Hospital, Boston, Massachusetts.

Seminars in Musculoskeletal Radiology
|June 2, 2001
PubMed
Summary

Arthrography, a joint imaging procedure, is very safe with rare serious reactions. Experienced radiologists reported minimal complications from over 262,000 arthrograms and 13,300 MR arthrograms.

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Area of Science:

  • Radiology
  • Medical Imaging
  • Patient Safety

Background:

  • Arthrography involves injecting contrast media into joints.
  • Serious adverse events from intra-articular contrast media are rare.
  • Assessing the safety profile of arthrography is crucial for clinical practice.

Purpose of the Study:

  • To evaluate the safety and complication rates associated with arthrography procedures.
  • To gather data on adverse events from experienced practitioners performing arthrography.
  • To assess the safety of magnetic resonance (MR) arthrograms using intra-articular gadolinium.

Main Methods:

  • A questionnaire was distributed to 180 radiologists experienced in performing arthrography.
  • 134 radiologists responded, reporting on their cumulative experience with arthrography procedures.
  • Data collected included types and frequencies of adverse events for both conventional and MR arthrography.

Main Results:

  • Respondents reported approximately 262,000 conventional arthrograms with 45 infections, 8 anaphylaxis cases, and 5 vascular complications; no deaths occurred.
  • Most reactions were minor, including pain, vasovagal responses, and urticaria.
  • Six minor reactions (vasovagal, pain, headaches) were reported among 13,300 MR arthrograms using intra-articular gadolinium.

Conclusions:

  • Arthrography is a very safe diagnostic imaging procedure with a low incidence of serious complications.
  • Minor reactions are the most common adverse events, and they are typically transient.
  • MR arthrography with intra-articular gadolinium also demonstrates a favorable safety profile.

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